Inland Empire Spinal Decompression Centers
NPI #1043481450 in Ontario, California
Provider Information
- NPI Number
- 1043481450
- Entity Type
- Organization
- Organization Name
- Inland Empire Spinal Decompression Centers
- Primary Specialty
- Clinic/Center - Health Service
- Enumeration Date
- Mar 13, 2008
- Last Updated
- Mar 13, 2008
Practice Location
- Address
- 203 W G ST
- Address 2
- STE B
- City
- Ontario
- State
- California
- ZIP Code
- 91762-3227
- Phone
- (909) 986-1611
Authorized Official
- Name
- DR. VICTOR HUGO FANTASIA, D.C.
- Title
- CFO
- Phone
- (909) 986-1611
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Health Service — Health Service |
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